WO2017077280A1 - Tétrahydroindazoles et leurs utilisations médicales - Google Patents

Tétrahydroindazoles et leurs utilisations médicales Download PDF

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Publication number
WO2017077280A1
WO2017077280A1 PCT/GB2016/053383 GB2016053383W WO2017077280A1 WO 2017077280 A1 WO2017077280 A1 WO 2017077280A1 GB 2016053383 W GB2016053383 W GB 2016053383W WO 2017077280 A1 WO2017077280 A1 WO 2017077280A1
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Prior art keywords
optionally substituted
compound
independently selected
groups independently
tetrahydro
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PCT/GB2016/053383
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English (en)
Inventor
Sonia Lain
Catherine DRUMMOND
Ingeborg van LEEUWEN
Martin Haraldsson
Lars Johansson
Lars Sandberg
Ulrika Yngve
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Sonia Lain
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Priority claimed from GBGB1610823.5A external-priority patent/GB201610823D0/en
Application filed by Sonia Lain filed Critical Sonia Lain
Priority to US15/772,650 priority Critical patent/US10889564B2/en
Priority to EP21203472.2A priority patent/EP3974424A1/fr
Priority to JP2018541572A priority patent/JP6859358B2/ja
Priority to CN201680063929.6A priority patent/CN108349947B/zh
Priority to EP16805882.4A priority patent/EP3371172B1/fr
Priority to ES16805882T priority patent/ES2895904T3/es
Publication of WO2017077280A1 publication Critical patent/WO2017077280A1/fr
Priority to US17/144,673 priority patent/US11795157B2/en

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    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D401/00Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
    • C07D401/02Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
    • C07D401/12Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings linked by a chain containing hetero atoms as chain links
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/4151,2-Diazoles
    • A61K31/4161,2-Diazoles condensed with carbocyclic ring systems, e.g. indazole
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/42Oxazoles
    • A61K31/422Oxazoles not condensed and containing further heterocyclic rings
    • AHUMAN NECESSITIES
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    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/42Oxazoles
    • A61K31/423Oxazoles condensed with carbocyclic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/425Thiazoles
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    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/4353Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/437Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a five-membered ring having nitrogen as a ring hetero atom, e.g. indolizine, beta-carboline
    • AHUMAN NECESSITIES
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    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/4427Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems
    • A61K31/4439Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a five-membered ring with nitrogen as a ring hetero atom, e.g. omeprazole
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/47Quinolines; Isoquinolines
    • A61K31/4709Non-condensed quinolines and containing further heterocyclic rings
    • AHUMAN NECESSITIES
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    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/4965Non-condensed pyrazines
    • A61K31/497Non-condensed pyrazines containing further heterocyclic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/506Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim not condensed and containing further heterocyclic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/535Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one oxygen as the ring hetero atoms, e.g. 1,2-oxazines
    • A61K31/53751,4-Oxazines, e.g. morpholine
    • A61K31/53771,4-Oxazines, e.g. morpholine not condensed and containing further heterocyclic rings, e.g. timolol
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals
    • A61P31/14Antivirals for RNA viruses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
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    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D403/00Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00
    • C07D403/02Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings
    • C07D403/12Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings linked by a chain containing hetero atoms as chain links
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    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D405/00Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
    • C07D405/02Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings
    • C07D405/12Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings linked by a chain containing hetero atoms as chain links
    • CCHEMISTRY; METALLURGY
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    • C07DHETEROCYCLIC COMPOUNDS
    • C07D409/00Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms
    • C07D409/02Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings
    • C07D409/12Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings linked by a chain containing hetero atoms as chain links
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    • C07DHETEROCYCLIC COMPOUNDS
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    • C07D413/02Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings
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    • C07D417/12Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing two hetero rings linked by a chain containing hetero atoms as chain links
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    • C07D471/02Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00 in which the condensed system contains two hetero rings
    • C07D471/04Ortho-condensed systems

Definitions

  • the present invention relates to novel treatments, and novel compounds and compositions that are of use in such treatments.
  • the present invention relates to certain tetrahydroindazoles, which are useful in the treatment of cancers and/or the treatment or prevention of viral infections.
  • mdm2/p53 binding antagonists have cytotoxic effects, they also have a reversible cytostatic effect that is likely to limit their efficacy. To some extent, this cytostatic effect could be due to a strong induction of p21 (waf1/cip1 ) by these compounds.
  • a series of reports have demonstrated that the efficacy of nutlin-3 at tumor cell killing is increased when administered in combination with other targeted small molecules such as the ATM kinase inhibitor KU-55933 and the BRAF V600E inhibitor vemurafenib (see K. D. Sullivan er a/., Nature Chemical Biology, 8, 646 (2012); Z.
  • Targeted therapeutics such as mdm2/p53 binding antagonists and BCR/ABL tyrosine kinase inhibitors can reduce cancer growth but rarely lead to the complete eradication of malignant cells.
  • Targeted therapeutics such as mdm2/p53 binding antagonists and BCR/ABL tyrosine kinase inhibitors can reduce cancer growth but rarely lead to the complete eradication of malignant cells.
  • mdm2/p53 binding antagonists and BCR/ABL tyrosine kinase inhibitors can reduce cancer growth but rarely lead to the complete eradication of malignant cells.
  • Severe acute respiratory syndrome SARS
  • MERS Middle East respiratory syndrome
  • WEE/EEE Western/Eastern equine encephalitis
  • Ebola pandemic influenza
  • pandemic influenza e.g. H1 1
  • SARS Severe acute respiratory syndrome
  • MERS Middle East respiratory syndrome
  • WEE/EEE Western/Eastern equine encephalitis
  • Ebola pandemic influenza
  • pandemic influenza e.g. H1 1
  • pandemic influenza e.g. H1 1
  • pandemic influenza e.g. H1 1
  • pandemic influenza e.g. H1 1
  • Broad-spectrum antiviral agents Jun- Da Zhu, WenMeng, Xiao-JiaWang and Hwa-Chain, R. Wang, Frontiers in Microbiology, doi: 10.3389/fmicb.2015.00517).
  • a 1 represents aryl optionally substituted by one or more groups independently selected from G 1 or heteroaryl optionally substituted by one or more groups independently selected from G 2 ;
  • a 2 represents aryl optionally substituted by one or more groups independently selected from G 3 or heteroaryl optionally substituted by one or more groups independently selected from G 4 ;
  • L represents -C(O)-, -C(0)N(R 3 )-, -C(0)0-, -S(0) r or -S(0) k N(R 4 )-;
  • R 1 represents H or Ci-3 alkyl optionally substituted by one or more halo;
  • R 2 represents F;
  • references herein to compounds of particular aspects of the invention will include references to all embodiments and particular forms thereof, which embodiments and particular forms may be taken in combination to form further embodiments .
  • salts include acid addition salts and base addition salts.
  • Such salts may be formed by conventional means, for example by reaction of a free acid or a free base form of a compound of the invention with one or more equivalents of an appropriate acid or base, optionally in a solvent, or in a medium in which the salt is insoluble, followed by removal of said solvent, or said medium, using standard techniques (e.g. in vacuo, by freeze-drying or by filtration). Salts may also be prepared by exchanging a counter-ion of a compound of the invention in the form of a salt with another counter-ion, for example using a suitable ion exchange resin.
  • carboxylate salts e.g. formate, acetate, trifluoroacetate, propionate, isobutyrate, heptanoate, decanoate, caprate, caprylate, stearate, acrylate, caproate, propiolate, ascorbate, citrate, glucuronate, glutamate, glycolate, a-hydroxybutyrate, lactate, tartrate, phenylacetate, mandelate, phenylpropionate, phenylbutyrate, benzoate, chlorobenzoate, methylbenzoate, hydroxybenzoate, methoxybenzoate, dinitrobenzoate, o-acetoxybenzoate, salicylate, nicotinate, isonicotinate, cinnamate, oxalate, malonate, succinate, suberate, sebacate, fumarate, malate, maleate, hydroxymaleate, hippurate, phthalate or ter
  • sulphonate salts e.g. benzenesulphonate, methyl-, bromo- or chloro-benzenesulphonate, xylenesulphonate, methanesulphonate, ethanesulphonate, propanesulphonate, hydroxyethanesulphonate, 1- or 2- naphthalene-sulphonate or 1 ,5-naphthalenedisulphonate salts
  • base addition salts include salts formed with alkali metals (such as Na and K salts), alkaline earth metals (such as Mg and Ca salts), organic bases (such as ethanolamine, diethanolamine, triethanolamine, tromethamine and lysine) and inorganic bases (such as ammonia and aluminium hydroxide). More particularly, base addition salts that may be mentioned include Mg, Ca and, most particularly, K and Na salts.
  • compounds of the first aspect of the invention may exist as solids, and thus the scope of the invention includes all amorphous, crystalline and part crystalline forms thereof, and may also exist as oils. Where compounds of the first aspect of the invention exist in crystalline and part crystalline forms, such forms may include solvates, which are included in the scope of the invention. Compounds of the first aspect of the invention may also exist in solution.
  • Compounds of the first aspect of the invention may contain double bonds and may thus exist as E (entadel) and Z (zusammen) geometric isomers about each individual double bond. All such isomers and mixtures thereof are included within the scope of the invention.
  • Compounds of the first aspect of the invention may also exhibit tautomerism. All tautomeric forms and mixtures thereof are included within the scope of the invention. Compounds of the invention may also contain one or more asymmetric carbon atoms and may therefore exhibit optical and/or diastereoisomerism. Diastereoisomers may be separated using conventional techniques, e.g. chromatography or fractional crystallisation. The various stereoisomers (i.e. enantiomers) may be isolated by separation of a racemic or other mixture of the compounds using conventional, e.g. fractional crystallisation or HPLC, techniques.
  • the desired optical isomers may be made by reaction of the appropriate optically active starting materials under conditions which will not cause racemisation or epimerisation (i.e. a 'chiral pool' method), by reaction of the appropriate starting material with a 'chiral auxiliary' which can subsequently be removed at a suitable stage, by derivatisation (i.e. a resolution, including a dynamic resolution); for example, with a homochiral acid followed by separation of the diastereomeric derivatives by conventional means such as chromatography, or by reaction with an appropriate chiral reagent or chiral catalyst all under conditions known to the skilled person. All stereoisomers and mixtures thereof are included within the scope of the invention.
  • compounds of the first aspect of the invention may exhibit stereoisomerism at the carbon marked with an asterisk ( * ) in the compound of formula I below, with compounds of the first aspect of the invention existing in the R- and S- configurations at that carbon (which configuration may be determined by those skilled in the art).
  • references to halo and/or halogen groups will each independently refer to fluoro, chloro, bromo and iodo (for example, fluoro (F) and chloro (CI)).
  • Ci -Z alkyl groups (where z is the upper limit of the range) defined herein may be straight-chain or, when there is a sufficient number (i.e. a minimum of two or three, as appropriate) of carbon atoms, be branched-chain, and/or cyclic (so forming a C3 -z -cycloalkyl group). When there is a sufficient number (i.e. a minimum of four) of carbon atoms, such groups may also be part cyclic.
  • Part cyclic alkyl groups that may be mentioned include cyclopropylmethyl and cyclohexylethyl. When there is a sufficient number of carbon atoms, such groups may also be multicyclic (e.g.
  • alkyl groups may also be saturated or, when there is a sufficient number (i.e. a minimum of two) of carbon atoms, be unsaturated (forming, for example, a C2 alkenyl or a C 2 - z alkynyl group).
  • aryl includes references to Ce-u (e.g. Ce- ⁇ ) aromatic groups.
  • Such groups may be monocyclic or bicyclic and, when bicyclic, be either wholly or partly aromatic.
  • C 6- io aryl groups that may be mentioned include phenyl, naphthyl, 1 ,2,3,4- tetrahydronaphthyl, indanyl, and the like (e.g. phenyl, naphthyl and the like, such as phenyl).
  • the point of attachment of substituents on aryl groups may be via any carbon atom of the ring system.
  • heteroaryi or heteroaromatic includes references to 5- to 14- (e.g. 5- to 10-) membered heteroaromatic groups containing one or more heteroatoms selected from oxygen, nitrogen and/or sulphur.
  • heteroaryi groups may comprise one, two, or three rings, of which at least one is aromatic (e.g. a heteroaryi group may comprise two rings, one of which is aromatic).
  • Substituents on heteroaryl/heteroaromatic groups may, where appropriate, be located on any atom in the ring system including a heteroatom.
  • the point of attachment of heteroaryl/heteroaromatic groups may be via any atom in the ring system including (where appropriate) a heteroatom.
  • bicyclic heteroaryl/heteroaromatic groups may comprise a benzene ring fused to one or more further aromatic or non-aromatic heterocyclic rings, in which instances, the point of attachment of the polycyclic heteroaryl/heteroaromatic group may be via any ring including the benzene ring or the heteroaryl/heteroaromatic or heterocycloalkyl ring.
  • heteroaryl/heteroaromatic groups examples include pyridinyl, pyrrolyl, furanyl, thiophenyl, oxadiazolyl, thiadiazolyl, thiazolyl, oxazolyl, pyrazolyl, triazolyl, tetrazolyl, isoxazolyl, isothiazolyl, imidazolyl, imidazopyrimidinyl, imidazothiazolyl, thienothiophenyl, pyrimidinyl, furopyridinyl, indolyl, azaindolyl, pyrazinyl, pyrazolopyrimidinyl, indazolyl, pyrimidinyl, quinolinyl, isoquinolinyl, quinazolinyl, benzofuranyl, benzothiophenyl, benzoimidazolyl, benzoxazolyl, benzothiazolyl, benzoxazoly
  • heteroaryi includes polycyclic (e.g. bicyclic) groups in which one ring is aromatic (and the other(s) may or may not be aromatic).
  • heteroaryi groups that may be mentioned include e.g.
  • heterocycloalkyl may refer to non-aromatic monocyclic and bicyclic heterocycloalkyl groups (which groups may further be bridged) in which at least one (e.g. one to four) of the atoms in the ring system is other than carbon (i.e. a heteroatom), and in which the total number of atoms in the ring system is between three and twelve (e.g. between five and ten and, most preferably, between three and eight, e.g. a 5- or 6-membered heterocycloalkyl group).
  • heterocycloalkyl groups may be saturated or unsaturated containing one or more double and/or triple bonds, forming for example a C 2- z (e.g.
  • C 4-z ) heterocycloalkenyl (where z is the upper limit of the range) or a C7 heterocycloalkynyl group.
  • C 2-z heterocycloalkyl groups that may be mentioned include 7-azabicycIo-[2.2.1]heptanyi, 6-azabicyclo[3.1.1]heptanyl, 6-azabicyclo[3.2.1]- octanyl, 8-azabicyclo[3.2.1]octanyl, aziridinyl, azetidinyl, 2,3-dihydroisothiazolyl, dihydropyranyl, dihydropyridyl, dihydropyrrolyl (including 2,5-dihydropyrrolyl), dioxolanyl (including 1 ,3-dioxolanyl), dioxanyl (including 1 ,3-dioxanyl and 1 ,4-dioxanyl), dithianyl (including 1 ,4-dit
  • heterocycloalkyl groups may, where appropriate, be located on any atom in the ring system including a heteroatom. Further, in the case where the substituent is another cyclic compound, then the cyclic compound may be attached through a single atom on the heterocycloalkyl group, forming a so-called "spiro"-compound.
  • the point of attachment of heterocycloalkyl groups may be via any atom in the ring system including (where appropriate) a further heteroatom (such as a nitrogen atom), or an atom on any fused carbocyclic ring that may be present as part of the ring system.
  • Heterocycloalkyl groups may also be in the N- or S- oxidised form. At each occurrence when mentioned herein, particular heterocycloalkyl groups that may be mentioned include 3- to 8-membered heterocycloalkyl groups (e.g. a 4- to 6-membered heterocycloalkyl group).
  • heteroatoms will take their normal meaning as understood by one skilled in the art.
  • Particular heteroatoms that may be mentioned include phosphorus, selenium, tellurium, silicon, boron, oxygen, nitrogen and sulphur (e.g. oxygen, nitrogen and sulphur).
  • references to polycyclic (e.g. bicyclic) groups e.g. when employed in the context of heterocycloalkyl groups
  • references to polycyclic (e.g. bicyclic) groups will refer to ring systems wherein more than two scissions would be required to convert such rings into a straight chain, with the minimum number of such scissions corresponding to the number of rings defined (e.g. the term bicyclic may indicate that a minimum of two scissions would be required to convert the rings into a straight chain).
  • bicyclic e.g.
  • heterocycloalkyl groups when employed in the context of heterocycloalkyl groups may refer to groups in which the second ring of a two-ring system is formed between two adjacent atoms of the first ring, and may also refer to groups in which two non-adjacent atoms are linked by either an alkyiene or heteroalkylene chain (as appropriate), which later groups may be referred to as bridged.
  • the present invention also embraces isotopically-labeiled compounds of the present invention which are identical to those recited herein, but for the fact that one or more atoms are replaced by an atom having an atomic mass or mass number different from the atomic mass or mass number usually found in nature (or the most abundant one found in nature). All isotopes of any particular atom or element as specified herein are contemplated within the scope of the compounds of the invention.
  • the compounds of the invention also include deuterated compounds, i.e. in which one or more hydrogen atoms are replaced by the hydrogen isotope deuterium.
  • compounds of the invention that are the subject of this invention include those that are stable. That is, compounds of the invention include those that are sufficiently robust to survive isolation, e.g. from a reaction mixture, to a useful degree of purity.
  • a 1 represents phenyl optionally substituted by one or more (such as one, two or three, e.g. one or two) groups independently selected from G 1 or heteroaryl optionally substituted by one or more (such as one, two or three, e.g. one or two) groups independently selected from G 2 .
  • a 1 represents heteroaryl optionally substituted by one or more (such as one, two or three, e.g. one or two) groups independently selected from G 2 .
  • a 1 represents a mono- or bi- cyclic heteroaryl optionally substituted by one or more (e.g. one or two groups) groups (i.e. G 2 groups) independently selected from halo, R a2 , -C(0)OR e2 , -OR 12 and -SR m2 .
  • G 2 groups independently selected from halo, R a2 , -C(0)OR e2 , -OR 12 and -SR m2 .
  • a 1 represents a mono- or bi- cyclic heteroaryl optionally substituted by one or more (e.g. one or two) groups (i.e. G 2 groups) independently selected from halo (e.g. F), Ci-3 alkyl optionally substituted by one or more fluoro (such as -CF 3 ), -C(0)OH, -C(0)OCi -3 alkyl, -OH, -OC1-3 alkyl, -SH and -SC1-3 alkyl (such as F, C1-2 alkyl, -OH and -SCH 3 ).
  • halo e.g. F
  • Ci-3 alkyl optionally substituted by one or more fluoro (such as -CF 3 )
  • -C(0)OH, -C(0)OCi -3 alkyl, -OH, -OC1-3 alkyl, -SH and -SC1-3 alkyl such as F, C1-2 alkyl, -OH and -SCH 3 ).
  • a 1 represents a mono- or bi- cyclic heteroaryl optionally substituted by one or more (e.g. one or two) groups (i.e. G 2 groups) independently selected from halo (e.g. F), C1-3 alkyl, -CF 3 , -C(0)OH, -C(0)OCi -3 alkyl, - OH, -0Ci -3 alkyl, -SH and -SCi -3 alkyl (such as F, C1-2 alkyl, -OH and -SCH 3 ).
  • halo e.g. F
  • C1-3 alkyl, -CF 3 , -C(0)OH, -C(0)OCi -3 alkyl, - OH, -0Ci -3 alkyl, -SH and -SCi -3 alkyl (such as F, C1-2 alkyl, -OH and -SCH 3 ).
  • a 1 represents a mono- or bi- cyclic heteroaryl optionally substituted by one or more (e.g. one or two) groups (i.e. G 2 groups) independently selected from halo (e.g. F), C1-3 alkyl, -C(0)OH, -C(0)OCi -3 alkyl, -OH, -OC1-3 alkyl, -SH and -SC1-3 alkyl (such as F, C1-2 alkyl, -OH and -SCH 3 ).
  • G 2 groups independently selected from halo (e.g. F), C1-3 alkyl, -C(0)OH, -C(0)OCi -3 alkyl, -OH, -OC1-3 alkyl, -SH and -SC1-3 alkyl (such as F, C1-2 alkyl, -OH and -SCH 3 ).
  • a 1 may represent a bi- cyclic heteroaryl (for example, a 9-membered bi-cyclic heteroaryl, such as tetrahydro-1 ,2-benzisoxazolyl, e.g. tetrahydro-1 ,2-benzisoxazol-3-yl) optionally substituted by one or two groups (i.e. G 2 groups) independently selected from halo, R a2 , -C(0)OR e2 , -OR 12 and -SR m2 (such as one or two groups independently selected from halo (e.g.
  • groups i.e. G 2 groups
  • such bi- cyclic heteroaryl for example, a 9-membered bi-cyclic heteroaryl, such as tetrahydro-1 ,2-benzisoxazolyl, e.g. tetrahydro- 1 ,2-benzisoxazol-3-yl
  • tetrahydro-1 ,2-benzisoxazolyl e.g. tetrahydro- 1 ,2-benzisoxazol-3-yl
  • a 1 may represent a mono- cyclic heteroaryl (for example, a 6-membered monocyclic heteroaryl, such pyridinyl, e.g. pyridine-2-yl) optionally substituted by one or two groups (i.e. G 2 groups) independently selected from halo, R a2 , -C(0)OR e2 , -OR 12 and -SR m2 (such as one or two groups independently selected from halo (e.g. F), Ci-3 alkyl, -C(0)OH, -C(0)OCi-3 alkyl, -OH, -OCi-3 alkyl, -SH and -SCi-3 alkyl, e.g.
  • the mono- or bi- cyclic heteroaryl representing A 1 may be a 5- or 6- membered monocyclic or a 9- or 10- membered bicyclic heteroaryl (e.g.
  • the mono- or bi- cyclic heteroaryl may be selected from pyridinyl (e.g. pyridine-2-yl and pyridine-3-yl), pyrazinyl (e.g. pyrazin-2-yl), benzofuranyl (e.g. benzofuran-3-yl), thiozolyl (e.g. thiozol-4- yl), thiophenyl (e.g. thiophen-2-yl), isoxazolyl (e.g.
  • the mono- or bi- cyclic heteroaryl representing A 1 may be a 5- or 6- membered monocyclic or a 9- or 10- (e.g. 9-) membered bicyclic heteroaryl.
  • the mono- or bi- cyclic heteroaryl may be selected from tetrahydro-2,1- benzisoxazolyl (e.g. tetrahydro-2,1-benzisoxazol-3-yl), benzoxazoyl (e.g. 1 ,3- benzisoxazol-3-yl or 1 ,2-benzisoxazol-3-yl), pyrazinyl, indazolyl, quinolinyl, 5H,6H,7H,8H- imidazo[1 ,5-a]pyridine-3-yl, imidazo[1 ,5-a]pyridin-3-yl, pyridinyl (e.g.
  • the mono- or bicyclic heteroaryl may be selected from pyridinyl (e.g. pyridine-2-yl), thiozolyl (e.g. thiozol- 4-yl), isoxazolyl (e.g. isoxazol-3-yl) and tetrahydro-1 ,2-benzisoxazolyl (e.g. tetrahydro-1 , 2-benzisoxazol-3-yl). More particularly, the mono- or bicyclic heteroaryl may be selected from pyridinyl (e.g. pyridine-2-yl), thiozolyl (e.g. thiozol- 4-yl), isoxazolyl (e.g. isoxazol-3-yl) and tetrahydro-1 ,2-benzisoxazolyl (e.g.
  • a 2 represents phenyl optionally substituted by one or more (preferably one, two or three, e.g. one or two) groups independently selected from G 3 or a 5- or 6-membered heteroaryl optionally substituted by one or more (preferably one, two or three, e.g. one or two) groups independently selected from G 4 .
  • a 2 represents aryl optionally substituted by one or more (preferably one, two or three, e.g. one or two) groups independently selected from G 3 .
  • a 2 represents phenyl optionally substituted by one or more (preferably one, two or three, e.g. one or two) groups independently selected from G 3 .
  • a 2 represents phenyl optionally substituted by one or more (e.g. one or two) groups (i.e. G 3 groups) independently selected from halo, R a3 and -OR 13 .
  • G 3 represents a group selected from halo, -A c3 -C(Q c3 )OR e3 (e.g. -C(0)OR e3 , such as wherein R e3 represents Ci- 3 alkyl), R a3 and -OR 13 .
  • G 3 represents a group selected from halo, -A a3 -C(Q a3 )R b3 (e.g. -C(0)heteroaryl, for example -C(0)-morpholinyl, such as -C(0)-morpholin-4-yl) or -A c3 -C(Q c3 )OR e3 (e.g. -C(0)OR e3 , such as wherein R e3 represents Ci -3 alkyl), R a3 and -OR 13 .
  • -A a3 -C(Q a3 )R b3 e.g. -C(0)heteroaryl, for example -C(0)-morpholinyl, such as -C(0)-morpholin-4-yl
  • -A c3 -C(Q c3 )OR e3 e.g. -C(0)OR e3 , such as wherein R e3 represents Ci -3 alkyl
  • G 3 represents a group selected from halo, -R a3 and -OR 13 .
  • a 2 may represent phenyl optionally substituted by one or more (e.g. one or two) groups (i.e. G 3 groups) independently selected from halo (e.g. F), -C(0)OCi-3 alkyl (such as -C(0)OCH 2 CH 3 ), and Ci- 4 alkyl (such as -CH 3 and -C(CH 3 ) 3 ).
  • G 3 groups independently selected from halo (e.g. F), -C(0)OCi-3 alkyl (such as -C(0)OCH 2 CH 3 ), and Ci- 4 alkyl (such as -CH 3 and -C(CH 3 ) 3 ).
  • G 3 groups independently selected from halo (e.g. F), -C(0)OCi-3 alkyl (such as -C(0)OCH 2 CH 3 ), and Ci- 4 alkyl (such as -CH 3 and -C(CH 3 ) 3 ).
  • a 2 may represent phenyl optionally substituted by one or two groups (
  • a 2 may represent phenyl optionally substituted by one or more (e.g. one or two) groups (i.e. G 3 groups) independently selected from halo (e.g. F), -C(0)-morpholinyl (such as -C(0)-morpholin-4-yl), -C(0)OCi -3 alkyl (such as -C(0)OCH 2 CH 3 ), and Ci -4 alkyl (such as -CH 3 and -C(CH 3 ) 3 ).
  • G 3 groups independently selected from halo (e.g. F), -C(0)-morpholinyl (such as -C(0)-morpholin-4-yl), -C(0)OCi -3 alkyl (such as -C(0)OCH 2 CH 3 ), and Ci -4 alkyl (such as -CH 3 and -C(CH 3 ) 3 ).
  • a 2 is unsubstituted in at least the 2-position (i.e. relative to the point of attachment to the essential tetrahydroindazole, as depicted in formula I, wherein the skilled person will understand that the point of attachment is referred to as the 1- position).
  • the group representing A 2 may be depicted as
  • G 3 is as defined herein (i.e. as defined in any embodiment of the first aspect of the invention, or any combination thereof, such as where G 3 represents a group independently selected from halo, R a3 and -OR' 3 , e.g. a group selected from F, -CH 3 and -C(CH 3 ) 3 (for example, a F group), t represents 0 to 5 (e.g. 0 to 2) and the bond disected by the wavy line indicates the point of attachment to the essential tetrahydroindazole group. More particularly, A 2 may be phenyl substituted with one or two substituents which are present at the 3-, 4-, 5- and/or 6-position(s).
  • a 2 may be phenyl substituted only in the 6- position (and therefore unsubstituted in the 2-, 3-, 4- and 5- positions), only in the 4- and 6- positions, or only in the 3- and 4- positions.
  • L 1 represents -C(0)N(R 3 )-, -C(0)0-, -S(0) 2 N(R 4 )-, -C(O)- or -S(0) 2 - (such as -C(O)- or -S(0».
  • L 1 represents -C(O)-.
  • R 1 represents H or C1-3 alkyl (e.g. Ci alkyl) optionally substituted by one or more F (e.g. H or -CH 3 ).
  • R 1 may represent H.
  • R 2 is not present at the point of attachment of the -NH-L 1 -A 1 group to the tetrahydroindazole (i.e. H is present at that position), in which case n represents 0 to 6.
  • n represents 0 to 2, in particular wherein, when n represents 2, each R 2 is present on the same carbon atom.
  • n 0.
  • R 3 and R 4 each independently represents H or C-i-3 alkyl optionally substituted by one or more F.
  • R 3 represents H.
  • R 4 represents H.
  • R 3 and R 4 each represent H.
  • each G 1 independently represents -CN, -A a1 -C(Q a1 )R b1 , -A b1 -C(Q b1 )N(R c1 )R d1 , -A c1 -C(Q c )OR e1 , -A d1 -S(0)pR f1 , -A e1 -S(0) q N(R9 1 )R h1 , -A f1 -S(0) P OR i1 , -N 3 , -N(R' 1 )R k1 , -N(H)CN, -NO2, -ONO2, halo, R a1 , -OR 11 or -SR m (such as halo, R a1 , -C(0)OR e1 , -OR 11 and -SR m1 ); each Q a1 to Q
  • each G 2 independently represents -CN, -A a2 -C(Q a2 )R b2 -A b2 -C(Q b )N(R c2 )R d2 , -A c2 -C(Q c2 )OR e2 , -A d2 -S(0) p R f2 , -A e2 -S(0) q N(R9 )R h2 , -A f1 -S(0) p OR i2 , -N 3> -N(R j2 )R k2 , -N(H)CN, -NO2, -ONO2, halo, R a2 , -OR 12 or -SR m2 (such as halo, R aZ , -C(0)OR e2 , -OR 12 or -SR m2 ); each Q a2 to Q
  • each G 2 independently represents halo, R a2 , -C(0)OR e2 , -OR 12 and -SR m2 .
  • each G 2 independently represents halo (e.g. F), Ci-3 alkyl, -C(0)OH, -C(0)OCi-3 alkyl, -OH, -OC1-3 alkyl, -SH and -SCi -3 alkyl (such as F, Ci -2 alkyl, -OH and -SCH 3 ).
  • halo e.g. F
  • Ci-3 alkyl e.g. C(0)OH, -C(0)OCi-3 alkyl, -OH, -OC1-3 alkyl, -SH and -SCi -3 alkyl (such as F, Ci -2 alkyl, -OH and -SCH 3 ).
  • each G 3 independently represents halo, R a3 or -OR 13 .
  • each G 3 independently represents halo (e.g. F) or Ci- 4 alkyl, such as F, -CH 3 or -C(CH 3 ) 3 .
  • each G 3 independently represents F or -CH 3 , such as F.
  • the compound of formula I is not N-(1-(2,4-difluorophenyl)-4,5,6,7-tetrahydro-1 H-indazol-4-yl)picolinamide.
  • Particular compounds of the first aspect of the invention include the compounds of the examples provided herein, and pharmaceutically acceptable salts thereof.
  • compounds of the first aspect of the invention may exist as stereoisomers.
  • compounds of the first aspect of the invention may exist as stereoisomers at the position marked with an asterisk in formula I as depicted herein above, at which position the skilled person will understand that compounds of the first aspect of the invention may exist in the R- or S- configuration.
  • the compound of formula I may exist in the form of two enantiomers having differing configurations at that stereo centre, which enantiomers may be referred to as the R- and S- enantiomers (indicating the configuration at that position, as understood by one skilled in the art).
  • compounds of the first aspect of the invention may exists as mixtures (e.g. about equal mixtures) of stereoisomers, i.e. mixtures of each possible stereoisomer.
  • compounds of the invention may exist as R- and S- enantiomers (i.e. in the R- and S- configurations at the carbon marked with an asterisk in the compound of formula I as depicted above)
  • the compound of the first aspect of the invention may be a mixture of those enantiomers, particularly an about equal mixture (e.g. a racemic mixture).
  • the compound of the first aspect of the invention may exist in either the R- or S- configuration at the marked carbon (e.g. as either the R- or S- enantiomer), in which case the compound may exist in the substantial absence of compounds of the alternative configuration (e.g. in greater than 60%, such as greater than 70%, greater than 80% or greater than 90% (e.g. greater than 99%, such as greater than or equal to 99.9%) purity relative to the alternative configuration.
  • the compound of the first aspect of the invention exists as either the R- or S- enantiomer as described herein above, that compound may have an enantiomeric excess (e.e.) as understood by one skilled in the art, of greater than greater than 60%, such as greater than 70%, greater than 80% or greater than 90% (e.g. greater than 99%, such as greater than or equal to 99.9%).
  • the compound of the first aspect of the invention may exist as the R- enantiomer as described herein above.
  • the compound of formula I is a compound of formula la
  • a 1 , A 2 , L 1 , R ⁇ R 2 and n are as defined in the first aspect of the invention (including all embodiments and combinations of embodiments thereof).
  • the compound of formula la is provided in the substantial absence of the compound of formula I, or pharmaceutically acceptable salt thereof, in the alternative configuration, e.g. a compound of formula lb
  • a 1 , A 2 , L 1 , R 1 , R 2 and n are as defined in the first aspect of the invention (including all embodiments and combinations of embodiments thereof), or a pharmaceutically acceptable salt thereof.
  • the compound of formula la, or a pharmaceutically acceptable salt thereof may be provided in greater than 60%, such as greater than 70%, greater than 80% or greater than 90% (e.g. greater than 99%, such as greater than or equal to 99.9%) purity relative to the compound of lb or a pharmaceutically acceptable salt thereof (e.g. where present in greater than 90% purity, the compounds of formula la, or a pharmaceutically acceptable salt thereof, will make up greater than 90% of the combined amount of compounds of formula la and lb, and pharmacetically acceptable salts thereof).
  • R- enantiomer or compound of formula la may be replaced with references to the S- enantiomer or compound of formula lb, and vice versa.
  • the compound of the first aspect of the invention may be provided as a compound of formula lb, or a pharmaceutically acceptable salt thereof, in greater than 60%, such as greater than 70%, greater than 80% or greater than 90% (e.g. greater than 99%, such as greater than or equal to 99.9%) purity relative to the compound of la or a pharmaceutically acceptable salt thereof.
  • a method of treating cancer and/or treating or preventing a viral infection comprising administering to a patient in need thereof a therapeutically effective amount of a compound of formula I, or a pharmaceutically acceptable salt thereof, as defined in the first aspect of the invention (including all embodiments and combinations of embodiments thereof).
  • a compound of formula I, or a pharmaceutically acceptable salt thereof, as defined in the first aspect of the invention for use in the manufacture of a medicament for the treatment of cancer and/or the treatment or prevention of a viral infection.
  • references to the treatment of a particular condition take their normal meaning in the field of medicine.
  • the terms may refer to achieving a reduction in the severity of one or more clinical symptom associated with the condition.
  • the term may refer to achieving a reduction of the amount of cancerous cells present (e.g.
  • the term may refer to achieving a reduction in the viral load (i.e. the number of viral units present in a given amount of plasma in the relevant patient, e.g. the number of viral units per ml_ of plasma).
  • references to the prevention of a particular condition take their normal meaning in the field of medicine, and include references to the prophylaxis of the condition (and vice-versa).
  • the term may refer to achieving a reduction in the likelihood of the patient (or a healthy subject) developing the condition (for example, at least a 10% reduction, such as at least a 20%, 30% or 40% reduction, e.g. at least a 50% reduction).
  • references to patients will refer to a living subject being treated, including mammalian (e.g. human) patients.
  • the treatment is in a mammal (e.g. a human).
  • the term therapeutically effective amount will refer to an amount of a compound that confers a therapeutic effect on the treated patient.
  • the effect may be objective (i.e. measurable by some test or marker) or subjective (i.e. the subject gives an indication of and/or feels an effect).
  • compounds of the first aspect of the invention may possess pharmacological activity as such, certain pharmaceutically-acceptable (e.g. "protected") derivatives of compounds of the invention may exist or be prepared which may not possess such activity, but may be administered parenterally or orally and thereafter be metabolised in the body to form compounds of the invention.
  • Such compounds (which may possess some pharmacological activity, provided that such activity is appreciably lower than that of the active compounds to which they are metabolised) may therefore be described as "prodrugs" of compounds of the invention.
  • references to prodrugs will include compounds that form a compound of the invention, in an experimentally-detectable amount, within a predetermined time, following enteral or parenteral administration (e.g. oral or parenteral administration). All prodrugs of the compounds of the first aspect of the invention are included within the scope of the invention.
  • the compounds of the first aspect of the invention are useful because they possess pharmacological activity, and/or are metabolised in the body following oral or parenteral administration to form compounds that possess pharmacological activity.
  • compounds of the first aspect of the invention are useful in the treatment of cancer, which term will be readily understood by one of skill in the art.
  • references to the treatment of cancer and/or the treatment or prevention of a viral infection will refer in particular to the treatment of cancer.
  • references to the treatment of cancer and/or the treatment or prevention of a viral infection will refer in particular to the treatment or prevention (more particularly, the treatment) of a viral infection.
  • the cancer is a cancer selected from the list consisting of:
  • soft tissue cancers such as sarcoma, myxoma, rhabdomyoma, fibroma, lipoma and teratoma;
  • lung cancers such as bronchogenic carcinoma, alveolar or bronchiolar carcinoma, bronchial adenoma, sarcoma, lymphoma, chondromatous hamartoma, mesothelioma; gastrointestinal cancers, such as esophageal cancers, stomach cancers, pancreatic cancers, small bowel cancers, large bowel cancers (e.g. colon cancer);
  • genitourinary tract cancers such as cancer of the kidney, bladder and urethra, prostate, testis;
  • liver cancers such as hepatoma, cholangiocarcinoma, hepatoblastoma, angiosarcoma, hepatocellular adenoma, hemangioma;
  • bone cancers such as osteogenic sarcoma, fibrosarcoma, malignant fibrous histiocytoma, chondrosarcoma, Ewing's sarcoma, malignant lymphoma, multiple myeloma, malignant giant cell tumor chordoma, osteochronfroma, benign chondroma, chondroblastoma, chondromyxofibroma, osteoid osteoma and giant cell tumors;
  • osteogenic sarcoma such as osteogenic sarcoma, fibrosarcoma, malignant fibrous histiocytoma, chondrosarcoma, Ewing's sarcoma, malignant lymphoma, multiple myeloma, malignant giant cell tumor chordoma, osteochronfroma, benign chondroma, chondroblastoma, chondromyxofibroma, osteoid osteoma and giant cell tumors;
  • cancers of the head and/or nervous system such as cancers of the skull, meninges, brain, spinal cord;
  • gynecological cancers such as cancers of the uterus, cervix, ovaries, cancers of the vulva, vagina, fallopian tubes; haematologic cancers, such as cancers of the blood and bone marrow (e.g. leukemia, such as acute myeloid leukemia, chronic myeloid leukemia), Hodgkin's disease, non- Hodgkin's lymphoma and Burkitt's lymphoma;
  • skin cancers such as malignant melanoma, basal cell carcinoma, squamous cell carcinoma, Kaposi's sarcoma, moles dysplastic nevi, lipoma, angioma, dermatofibroma, keloids; neurofibromatosis and adrenal glands; and
  • references to cancerous cells and the like will include references to a cell afflicted by any one of the above-identified conditions.
  • cancers that may be mentioned include those corresponding to the cell lines used in the examples provided herein.
  • particular cancers that may be mentioned include:
  • skin cancer e.g. as defined herein, such as malignant melanoma
  • leukemia such as chronic myeloid leukemia
  • the cancer is selected from the group consisting of a skin cancer (such as malignant melanoma) and a haematologic cancer (such as chronic myeloid leukemia).
  • a skin cancer such as malignant melanoma
  • a haematologic cancer such as chronic myeloid leukemia
  • the cancer may be a skin cancer as known to those skilled in the art, such as a skin cancer as described herein.
  • the cancer may be chronic myeloid leukemia (CML) or malignant melanoma. More particularly, the cancer may be malignant melanoma.
  • CML chronic myeloid leukemia
  • malignant melanoma Most particularly, the cancer may be malignant melanoma.
  • references to a viral infection will refer to an infection caused by one or more virus selected from severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS), Western/Eastern equine encephalitis (WEE/EEE), Ebola and influenza, such as pandemic influenza (e.g. H1 N1 ).
  • SARS severe acute respiratory syndrome
  • MERS Middle East respiratory syndrome
  • WEE/EEE Western/Eastern equine encephalitis
  • Ebola such as pandemic influenza (e.g. H1 N1 ).
  • treatment with compounds of the first aspect of the invention may further comprise (i.e. be combined with) further (i.e. additional/other) treatment(s) for the same condition.
  • treatment with compounds of the invention may be combined with other means for the treatment of cancer, such as treatment with one or more other therapeutic agent that is useful in the treatment of cancer (including treatment with cell-based therapies, such as immunotherapies) and/or one or more physical method used in the treatment of cancer (such as treatment through surgery and/or radiotherapy), as known to those skilled in the art.
  • treatment with compounds of the first aspect of the invention may further comprise (i.e. be combined with) further (i.e. additional/other) treatment(s) for cancer (such treatment with an additional agent for the treatment of a cancer as described herein, e.g. malignant melanoma).
  • further treatment(s) for cancer such treatment with an additional agent for the treatment of a cancer as described herein, e.g. malignant melanoma.
  • treatment with compounds of the invention may be performed in combination with (e.g. in a patent who is also being treated with) one or more (e.g. one) additional compounds (i.e. therapeutic agents) that:
  • a cell e.g. a cancerous cell
  • treatment or prevention using compounds of the invention may be performed in combination with one or more other therapeutic agent that is useful in the treatment or prevention of a viral infection, as known to those skilled in the art.
  • compounds of the first aspect of the invention may exist as stereoisomers. Further, certain stereoisomers of compounds of the invention may be novel.
  • a compound of formula la or a pharmaceutically acceptable salt thereof wherein A 1 , A 2 , L 1 , R 1 , R 2 and n are as defined in the first aspect of the invention (including all embodiments and combinations of embodiments thereof).
  • the compound of formula la, or a pharmaceutically acceptable salt thereof may be provided in greater than 60%, such as greater than 70%, greater than 80% or greater than 90% (e.g. greater than 99%, such as greater than or equal to 99.9%) purity relative to a compound of lb, as defined herein, or a pharmaceutically acceptable salt thereof (e.g. where present in greater than 90% purity, the compounds of formula la, or a pharmaceutically acceptable salt thereof, will make up greater than 90% of the combined amount of compounds of formula la and lb, and pharmacetically acceptable salts thereof).
  • the compound of formula la is not (f?)-N-(1-(2,4-difluorophenyl)-4,5,6,7-tetrahydro-1 H-indazol-4-yl)picolinamide.
  • a 1 , A 2 , L 1 , R ⁇ R 2 and n are as defined in the first aspect of the invention (including all embodiments and combinations of embodiments thereof).
  • the compound of formula lb, or a pharmaceutically acceptable salt thereof may be provided in greater than 60%, such as greater than 70%, greater than 80% or greater than 90% (e.g. greater than 99%, such as greater than or equal to 99.9%) purity relative to a compound of la, as defined herein, or a pharmaceutically acceptable salt thereof (e.g. where present in greater than 90% purity, the compounds of formula lb, or a pharmaceutically acceptable salt thereof, will make up greater than 90% of the combined amount of compounds of formula la and lb, and pharmaceticaily acceptable salts thereof).
  • the compound of formula lb is not (S)-A/-(1-(2,4-difluorophenyl)-4,5,6,7-tetrahydro-1 H-indazol-4-yl)picolinamide.
  • Particular compounds of formula lb that may be mentioned (in relation to the first and second aspects of the invention, and all aspects of the invention referring thereto) include: (S)-N-(1-(2-fluorophenyl)-4,5,6,7-tetrahydro-1 H-indazol-4-yl)picolinamide,
  • compounds of the first and, therefore, second aspects of the invention are therapeutically active.
  • a compound as defined in the second aspect of the invention for use in medicine (which may also be referred to as use as a pharmaceutical).
  • references to the second aspect of the invention include references to the alternative second aspect of the invention.
  • a compound of formula la as defined in the second aspect of the invention or a pharmaceutically acceptable salt thereof, for use in medicine (which may also be referred to as use as a pharmaceutical).
  • a compound of formula lb as defined in the second aspect of the invention or a pharmaceutically acceptable salt thereof, for use in medicine (which may also be referred to as use as a pharmaceutical).
  • compounds of the first and, therefore, second aspects of the invention are useful as pharmaceuticals. Such compounds may be administered alone or may be administered by way of known pharmaceutical compositions/formulations.
  • a pharmaceutical composition comprising a compound as defined in the second aspect of the invention, and optionally one or more pharmaceutically acceptable adjuvant, diluent and/or carrier.
  • references herein to compounds of the first aspect of the invention being for particular uses (and, similarly, to uses and methods of use relating to compounds of the invention) may also apply to pharmaceutical compositions comprising compounds of the invention as described herein.
  • a pharmaceutical composition comprising a compound as defined in the first aspect of the invention, and optionally one or more pharmaceutically acceptable adjuvant, diluent and/or carrier, for use in the treatment of cancer and/or the treatment or prevention of a viral infection (as defined in the first aspect of the invention).
  • a pharmaceutical composition comprising a compound as defined in the first aspect of the invention, and optionally one or more pharmaceutically acceptable adjuvant, diluent and/or carrier, for use in the treatment of cancer and/or the treatment or prevention of a viral infection (as defined in the first aspect of the invention).
  • compounds of the first (and, therefore, second) aspect of the invention may act systemically and/or locally (i.e. at a particular site).
  • compositions as described in the first to fifth aspects of the invention will normally be administered orally, intravenously, subcutaneously, buccally, rectally, dermally, nasally, tracheally, bronchially, sublingually, intranasally, topically, by any other parenteral route or via inhalation, in a pharmaceutically acceptable dosage form.
  • Pharmaceutical compositions as described herein will include compositions in the form of tablets, capsules or elixirs for oral administration, suppositories for rectal administration, sterile solutions or suspensions for parenteral or intramuscular administration, and the like. Alternatively, particularly where such compounds of the invention act locally, pharmaceutical compositions may be formulated for topical administration.
  • the pharmaceutical formulation is provided in a pharmaceutically acceptable dosage form, including tablets or capsules, liquid forms to be taken orally or by injection, suppositories, creams, gels, foams, inhalants (e.g. to be applied intranasally), or forms suitable for topical administration.
  • a pharmaceutically acceptable dosage form including tablets or capsules, liquid forms to be taken orally or by injection, suppositories, creams, gels, foams, inhalants (e.g. to be applied intranasally), or forms suitable for topical administration.
  • compounds of the invention may be present as a solid (e.g. a solid dispersion), liquid (e.g. in solution) or in other forms, such as in the form of micelles.
  • the compound in the preparation of pharmaceutical formulations for oral administration, may be mixed with solid, powdered ingredients such as lactose, saccharose, sorbitol, mannitol, starch, amylopectin, cellulose derivatives, gelatin, or another suitable ingredient, as well as with disintegrating agents and lubricating agents such as magnesium stearate, calcium stearate, sodium stearyl fumarate and polyethylene glycol waxes.
  • disintegrating agents and lubricating agents such as magnesium stearate, calcium stearate, sodium stearyl fumarate and polyethylene glycol waxes.
  • the mixture may then be processed into granules or compressed into tablets.
  • Soft gelatine capsules may be prepared with capsules containing one or more active compounds (e.g.
  • hard gelatine capsules may contain such compound(s) in combination with solid powdered ingredients such as lactose, saccharose, sorbitol, mannitol, potato starch, corn starch, amylopectin, cellulose derivatives or gelatine.
  • Dosage units for rectal administration may be prepared (i) in the form of suppositories which contain the compound(s) mixed with a neutral fat base; (ii) in the form of a gelatine rectal capsule which contains the active substance in a mixture with a vegetable oil, paraffin oil, or other suitable vehicle for gelatine rectal capsules; (iii) in the form of a ready- made micro enema; or (iv) in the form of a dry micro enema formulation to be reconstituted in a suitable solvent just prior to administration.
  • Liquid preparations for oral administration may be prepared in the form of syrups or suspensions, e.g. solutions or suspensions, containing the compound(s) and the remainder of the formulation consisting of sugar or sugar alcohols, and a mixture of ethanol, water, glycerol, propylene glycol and polyethylene glycol. If desired, such liquid preparations may contain colouring agents, flavouring agents, saccharine and carboxymethyl cellulose or other thickening agent.
  • Liquid preparations for oral administration may also be prepared in the form of a dry powder to be reconstituted with a suitable solvent prior to use.
  • Solutions for parenteral administration may be prepared as a solution of the compound(s) in a pharmaceutically acceptable solvent. These solutions may also contain stabilizing ingredients and/or buffering ingredients and are dispensed into unit doses in the form of ampoules or vials. Solutions for parenteral administration may also be prepared as a dry preparation to be reconstituted with a suitable solvent extemporaneously before use.
  • the pharmaceutical composition does not comprise liposomes.
  • compounds of the first (and, therefore, second) aspect of the invention may be administered (for example, as compositions as described in the fourth and fifth aspects of the invention) at varying doses, with suitable doses being readily determined by one of skill in the art.
  • Oral, pulmonary and topical dosages (and subcutaneous dosages, although these dosages may be relatively lower) may range from between about 0.01 mg/kg of body weight per day (mg/kg/day) to about 200 mg/kg/day, preferably about 0.01 to about 10 mg/kg/day, and more preferably about 0.1 to about 5.0 mg/kg/day.
  • treatment with such compounds and compositions may comprise administration of a compositions typically containing between about 0.01 mg to about 2000 mg, for example between about 0.1 mg to about 500 mg, or between 1 mg to about 100 mg, of the active ingredient.
  • a compositions typically containing between about 0.01 mg to about 2000 mg, for example between about 0.1 mg to about 500 mg, or between 1 mg to about 100 mg, of the active ingredient.
  • the most preferred doses will range from about 0.001 to about 10 mg/kg/hour during constant rate infusion.
  • treatment may comprise administration of such compounds and compositions in a single daily dose, or the total daily dosage may be administered in divided doses of two, three or four times daily (with reference to the doses described herein).
  • the skilled person e.g.
  • the physician will be able to determine the actual dosage which will be most suitable for an individual patient, which is likely to vary with the route of administration, the type and severity of the condition that is to be treated, as well as the species, age, weight, sex, renal function, hepatic function and response of the particular patient to be treated.
  • the above-mentioned dosages are exemplary of the average case; there can, of course, be individual instances where higher or lower dosage ranges are merited, and such are within the scope of this invention.
  • treatment with compounds of the first aspect of the invention may further comprise (i.e. be combined with) further (i.e. additional/other) treatment(s) for the same condition.
  • treatment with compounds of the invention may be combined with other means for the treatment of cancer, such as treatment with one or more other therapeutic agent that is useful in the treatment of cancer, or other means for the treatment or prevention of a viral infection.
  • the pharmaceutical composition may further comprise one or more additional (i.e. other) therapeutic agent.
  • the one or more additional therapeutic agent is an agent for the treatment of cancer (such as an additional agent for the treatment of a cancer as described herein, e.g. malignant melanoma).
  • the one or more additional therapeutic agent is an agent for the treatment or prevention of a viral infection (e.g. a viral infection as described herein).
  • a combination product comprising:
  • each of components (A) and (B) is formulated in admixture, optionally with one or more a pharmaceutically-acceptable adjuvant, diluent or carrier.
  • kit-of-parts comprising:
  • components (a) and (b) are each provided in a form that is suitable for administration in conjunction with the other.
  • the additional therapeutic agent is a therapeutic agent for the treatment of cancer (such as an additional agent for the treatment of a cancer as described herein, e.g. malignant melanoma).
  • the additional therapeutic agent is an agent for the treatment of malignant melanoma.
  • the additional therapeutic agent is an agent that is:
  • a cell e.g. a cancerous cell, such as a cell forming part of a cancer as described herein; and/or (ii) an activator of p53 (such as an inhibitor of MDM2).
  • a cell e.g. a cancerous cell, such as a cell forming part of a cancer as described herein
  • an activators of p53 such as an inhibitor of MDM2
  • therapeutic agents that are commercially available (e.g. agents that the subject of a marketing authorization in one or more territory, such as a European or US marketing authorization).
  • references to therapeutic agents capable of reducing levels of nucleosides and/or nucleotides within a cell may refer to compounds capable of reducing levels of such nucleosides and/or nucleotides (such as the levels of uridine and/or uridine phosphates, e.g. mono-, di- and tri- phosphates) within such a cell by at least 10% (such as at least 20%, at least 30% or at least 40%, for example at least 50%, at least 60%, at least 70% or at least 80%, e.g. at least 90%) when compared to the levels of such nucleosides and/or nucleotides in such a cell prior to treatment with the relevant compound.
  • compounds capable of reducing levels of such nucleosides and/or nucleotides such as the levels of uridine and/or uridine phosphates, e.g. mono-, di- and tri- phosphates
  • references to therapeutic agents capable of reducing levels of nucleosides and/or nucleotides within a cell may include references to compounds that act by inhibiting uptake of such nucleosides and/or nucleotides by such cells.
  • therapeutic agents may include inhibitors of uridine uptake, as known to those skilled in the art (such as the therapeutic agent nilotinib or dipyridamole).
  • Particular therapeutic agents capable of reducing levels of nucleosides and/or nucleotides within a cell include nilotinib, dipyridamole, imatinib, gefitinib, ibrutinib, varlitinib, volitinib and vemurafenib (e.g. nilotinib and imatinib).
  • therapeutic agents capable of reducing levels of nucleosides and/or nucleotides within a cell include nilotinib, dipyridamole, imatinib, ibrutinib and vemurafenib. More particular therapeutic agents capable of reducing levels of nucleosides and/or nucleotides within a cell include nilotinib, ibrutinib and dipyridamole.
  • nucleosides and/or nucleotides within a cell include imatinib.
  • therapeutic agents capable of reducing levels of nucleosides and/or nucleotides within a cell include vemurafenib.
  • therapeutic agents capable of reducing levels of nucleosides and/or nucleotides within a cell include ASLAN001 (varlitinib), ibrutinib, rapamycin, vemurafenib, gefitinib, antimycin A, BI-2536, VX-680, roscovitine, olomoucine, imatinib (STI-571 ), AG1879, AG1517, AG1478, AG825, AG18, AG490, vinblastine, etoposide, genistein, U0126, Raf-1 inhibitor 1 , H89, KN93, staurosporine, ZM336372 and indirubin-3'- monoxime.
  • therapeutic agents capable of reducing levels of nucleosides and/or nucleotides within a cell include ASLAN001 (varlitinib).
  • therapeutic agents capable of reducing levels of nucleosides and/or nucleotides within a cell include ibrutinib.
  • Other compounds that could reduce the levels of nucleosides and/or nucleotides in cells include BIBW2992, AG013736, PF-02341066 / PF-2341066, BMS-354825, 5-aza-2'- deoxycytidine, LY317615, CP-358774 / OSI-774, RAD001 / SDZ-RAD / Certican, GW572016 / GW2016, AMN-107, GW786034 / Armala, AP24534, BAY73-4506, INCB018424, Bay 43-9006 / Nexaxar, Sutent / SU-11248, Torisel / CCI-779, tasocitinib / CP-690550, GSK1120212, ZD6474, PLX4032 / RG7204
  • references to activators of p53 may refer to therapeutic agents that are capable of: increasing p53 synthesis and/or stability (e.g. by increasing thermo stability or through inhibition of degradation); and/or increasing transcription factor function, within a cell (e.g. a cancerous cell, such as a cell forming part of a cancer as described herein).
  • a cell e.g. a cancerous cell, such as a cell forming part of a cancer as described herein
  • the levels of p53 within a cell are increased by at least by at least 10% (such as at least 20%, at least 30% or at least 40%, for example at least 50%, at least 60%, at least 70% or at least 80%, e.g. at least 90% or at least 100%), when compared to the levels of p53 in such a cell prior to treatment with the relevant compound.
  • a transcription factor function of p53 in a cell e.g.
  • a cancerous cell such as a cell forming part of a cancer as described herein
  • at least 10% such as at least 20%, at least 30% or at least 40%, for example at least 50%, at least 60%, at least 70% or at least 80%, e.g. at least 90% or at least 100%
  • at least 50% such as at least 60%, at least 70% or at least 80%, e.g. at least 90% or at least 100%
  • references to activators of p53 may include references to therapeutic agents that act by inhibiting MDM2 (such as the therapeutic agent nutlin-3).
  • references to therapeutic agents that act by inhibiting MDM2 may refer to compounds capable of inhibiting the activity of MDM2 within a cell (e.g. a cancerous cell, such as a cell forming part of a cancer as described herein) by at least 10% (such as at least 20%, at least 30% or at least 40%, for example at least 50%, at least 60%, at least 70% or at least 80%, e.g. at least 90%) when compared to the levels of such activity in such a cell prior to treatment with the relevant compound.
  • a cell e.g. a cancerous cell, such as a cell forming part of a cancer as described herein
  • Particular therapeutic agents capable of activating p53 e.g.
  • MDM2 by inhibiting MDM2
  • MDM2 include nutlin-3, RO5045337, idasanutlin, AMG-232, DS3032b, serdemetan, ALRN-6924, SAR- 405838, CGM-097, RO-5503781 , RO-6839921 and HDM-201.
  • More particular therapeutic agents capable of activating p53 include nutlin-3
  • therapeutic agents capable of activating p53 include PS-341 / MS-34 , Ara-C, adriamycin, 5-FU, Camptosar and mithramycin A.
  • the additional therapeutic agent is a therapeutic agent for the treatment or prevention of a viral infection, such as a viral infection as described herein.
  • compositions/formulations, combination products and kits as described herein may be prepared in accordance with standard and/or accepted pharmaceutical practice.
  • a process for the preparation of a pharmaceutical composition/formulation as hereinbefore defined, which process comprises bringing into association a compound of the invention, as hereinbefore defined, with one or more pharmaceutically-acceptable adjuvant, diluent or carrier.
  • a process for the preparation of a combination product or kit-of-parts as hereinbefore defined comprises bringing into association a compound of the invention, as hereinbefore defined, or a pharmaceutically acceptable salt thereof with the other therapeutic agent that is useful in the treatment of cancer and/or the treatment or prevention of a viral infection, and at least one pharmaceutically-acceptable adjuvant, diluent or carrier.
  • references to bringing into association will mean that the two components are rendered suitable for administration in conjunction with each other.
  • kits of parts as hereinbefore defined, by bringing the two components "into association with” each other, we include that the two components of the kit of parts may be:
  • a 1 and L 1 are as defined in Claim 27 and LGi represents a suitable leaving group, in the presence of a suitable solvent and optionally in the presence of a suitable base and/or a suitable catalyst, under conditions known to those skilled in the art (for example, where LGi represents -OH, the reaction may be performed in the presence of reagents suitable for performing peptide coupling reactions as known to those skilled in the art, such as in the presence of HOBt and EDC.HCI, or alternatively HATU or HBTU, and optionally in the presence of a suitable base, e.g. EbN);
  • a 1 is as defined in the second aspect of the invention in the presence of a suitable solvent and optionally in the presence of a suitable base and/or a suitable catalyst, under conditions known to those skilled in the art; or reaction of a compound of formula (V)
  • a 2 is as defined in Claim 27 and LG2 represents a suitable leaving group, in the presence of a suitable solvent and optionally in the presence of a suitable base and/or a suitable catalyst, under conditions known to those skilled in the art (for example, under Buchwald-Hartwig conditions as known to those skilled in the art, e.g. where LG2 represents a suitable leaving group such as halo and in the presence of a suitable catalyst such as a suitable Pd catalyst (e.g. Pd 2 (dba) 3 ) and a suitable base, or under Chan-Lam conditions as known to those skilled in the art, e.g. where LG2 represents a suitable leaving group such as -B(OH)2 and in the presence of a suitable catalyst such as a suitable Cu catalyst (e.g. Cu(OAc)2) and a suitable base).
  • a suitable Pd catalyst e.g. Pd 2 (dba) 3
  • a suitable catalyst e.g. Pd 2 (dba) 3
  • a suitable catalyst
  • compounds of formula II where n represents 0 to 6 may be prepared by reaction of a compound of formula VII
  • R , R 2 and A 2 are as defined herein for compounds of formula I (and formula la) and n represents 0 to 6, with a suitable chiral amide (such as (Ss)-2-methyl-2- propanesulfinamide) under conditions known to those skilled in the art (for example, in the presence of a suitable catalyst (such as Ti(OEt) 4 ) and a suitable reducing agent (such as L-selectride), and in the presence of a suitable solvent), followed by cleavage of the amide, under conditions known to those skilled in the art (i.e. to provide the free amine of the compound of formula II).
  • a suitable chiral amide such as (Ss)-2-methyl-2- propanesulfinamide
  • a suitable catalyst such as Ti(OEt) 4
  • a suitable reducing agent such as L-selectride
  • compounds of formula VII may be prepared by reaction of a compound of formula VIII wherein R ⁇ R 2 and n are as defined herein for compounds of formula VII, with a compound of formula IX
  • a 2 is as defined herein for compounds of formula I (and formula la), under conditions known to those skilled in the art.
  • compounds of formula VII wherein R 1 represents H may be prepared by reaction of a compound of formula X
  • R 2 and n are as defined herein for compounds of formula VII, with a compound of formula IX as defined herein, under conditions known to those skilled in the art.
  • compounds of formula III may be commercially available, known in the literature, or may be prepared by analogy with the synthesis of a compound of formula I but wherein A 2 represents H or a suitable protecting group as known to those skilled in the art, wherein the latter case the preparation will require removal of the protecting group, under conditions known to those skilled in the art, to yield the compound of formula III.
  • compounds of formula lb, and pharmaceutically acceptable salts thereof, as defined herein may be prepared by analogy with the synthesis of compounds of formula la, and pharmaceutically acceptable salts thereof, as described in the eighth aspect of the invention.
  • processes may be performed in accordance with the eight aspect of the invention but wherein the stereochemistry indicated for compounds of formula II and V is reversed (i.e. the opposite enantiomer is used).
  • compounds used in the synthesis of compounds of formula lb, and pharmaceutically acceptable salts thereof may be commercially available, known in the literature or prepared by analogy with the preparation of compounds used in the preparation of compounds of la, and pharmaceutically acceptable salts thereof.
  • compounds of formula II where n represents 0 to 6, but wherein the stereochemistry shown is reversed (i.e. the opposite enantiomer is provided) may be prepared by reaction of a compound of formula VII, as defined herein, with a suitable chiral amide (such as (Ss)-2-methyl-2-propanesulfinamide) under conditions known to those skilled in the art (for example, in the presence of a suitable catalyst (such as Ti(OEt) 4 ) and a suitable reducing agent (such as NaBH 4 ), and in the presence of a suitable solvent), followed by cleavage of the amide, under conditions known to those skilled in the art (i.e. to provide the free amine of the compound corresponding to the compound of formula II).
  • a suitable chiral amide such as (Ss)-2-methyl-2-propanesulfinamide
  • a suitable catalyst such as Ti(OEt) 4
  • a suitable reducing agent such as NaBH 4
  • the substituents on A 1 , A 2 , L 1 , R and R 2 groups, as hereinbefore defined, may be modified one or more times, after or during the processes described above for preparation of compounds of formula la (and, similarly, compounds of formula lb) by way of methods that are well known to those skilled in the art. Examples of such methods include substitutions, reductions, oxidations, dehydrogenations, alkylations, dealkylations, acylations, hydrolyses, esterifications, etherifications, halogenations and nitrations.
  • the precursor groups can be changed to a different such group, or to the groups defined in formula I, at any time during the reaction sequence.
  • the skilled person may also refer to "Comprehensive Organic Functional Group Transformations" by A. R. Katritzky, O. Meth- Cohn and C. W. Rees, Pergamon Press, 1995 and/or "Comprehensive Organic Transformations" by R. C. Larock, Wiley-VCH, 1999.
  • Such compounds may be isolated from their reaction mixtures and, if necessary, purified using conventional techniques as known to those skilled in the art.
  • processes for preparation of compounds of the invention as described herein may include, as a final step, isolation and optionally purification of the compound of the invention (e.g. isolation and optionally purification of the compound of formula I).
  • the functional groups of intermediate compounds may need to be protected by protecting groups. The protection and deprotection of functional groups may take place before or after a reaction in the above-mentioned schemes. Protecting groups may be applied and removed in accordance with techniques that are well known to those skilled in the art and as described hereinafter.
  • protected compounds/intermediates described herein may be converted chemically to unprotected compounds using standard deprotection techniques.
  • the type of chemistry involved will dictate the need, and type, of protecting groups as well as the sequence for accomplishing the synthesis.
  • the use of protecting groups is fully described in "Protective Groups in Organic Synthesis", 3rd edition, T.W. Greene & P.G.M. Wutz, Wiley-lnterscience (1999).
  • Compounds as described herein may have the advantage that they may be more efficacious than, be less toxic than, be longer acting than, be more potent than, produce fewer side effects than, be more easily absorbed than, and/or have a better pharmacokinetic profile (e.g. higher oral bioavailability and/or lower clearance) than, and/or have other useful pharmacological, physical, or chemical properties over, compounds known in the prior art, whether for use in the above-stated indications or otherwise.
  • such compounds may have the advantage that they are more efficacious and/or exhibit advantageous properties in vivo.
  • compounds as described herein are thought to be potent inhibitors of DHODH, which leads to activity as inhibitors of de novo pyrimidine nucleotide synthesis.
  • Cancer cells are known to have greater susceptibility to nucleotide level modulation, due to their defective cell cycle check points. This allows for potent and selective inhibition of cancer cell growth and promotion of cancer cell death.
  • nucleotides and nucleosides such as pyrimidine nucleotides and nucleosides
  • therapeutic agents that are able to decrease the level of nucleotides and nucleosides, such as pyrimidine nucleotides and nucleosides, in the cell (for example, by inhibiting uptake or preventing retention within the cell; such as the therapeutic agent nilotinib) are thought to provide an effective and synergistic combination therapy.
  • Figure 1 shows results obtained from Biological Example 2, which measures the effect of different concentrations of Example 8 on the activation of the transcription factor function of p53 in the absence and presence of excess uridine.
  • Figure 2 shows results obtained from Biological Example 3, which shows that the compound of Example 8 reduces ARN8 melanoma cell growth and/or viability, and that this effect is largely prevented by the addition of excess uridine.
  • Figure 3 shows results obtained from Biological Example 4, which shows that the compound of Example 1 increases p53 synthesis.
  • Figure 4 shows results obtained from Figure 5, which shows that loss of nutlin-3 induced p21 expression by the compound of Example 1 is also associated with an increase in apoptosis.
  • Figure 5 shows results obtained from Biological Example 6, which determines the effect of the compound of Example 1 and nutlin-3 on cell death.
  • Figure 6 shows a simplified description of the pyrimidine nucleotide de novo synthesis (blue) and salvage (black) pathways.
  • Figure 7 shows results obtained from Biological Example 7, which shows that nilotinib blocks uridine uptake in ARN8 cells.
  • Figure 8 shows results obtained from Biological Example 8, which shows the effect of the combination of the compound of Example 8 and nilotinib on ARN8 cell growth.
  • Figure 9 shows results obtained from Biological Example 9, which shows the effect of the combination of the compound of Example 8 and dipyridamole on ARN8 cell growth.
  • Figure 10 shows results obtained from Biological Example 10, which show the effect of the compound of Example 1 on the viability and/or growth of a variety of cancer cell lines.
  • Figure 11 shows results obtained from Biological Example 1 1 , which show the effect of the compound of Example 16 on the viability of green fluorescence protein (GFP)-labeled Semliki Forest Virus (SFV) in human normal dermal fibroblasts.
  • GFP green fluorescence protein
  • SFV Semliki Forest Virus
  • Nuclear magnetic resonance (NMR) spectra were acquired on either a Bruker Avance 300 ( 1 H, 300.1 MHz; 13 C, 75.5 MHz), Bruker Avance II 400 ( 1 H, 400.1 MHz; 13 C, 100.6 MHz), Bruker Avance 500 ( 1 H, 499.9 MHz; 13 C, 125.7 MHz), Bruker Avance III 500 ( ⁇ , 500.1 MHz, 13 C, 125.7 MHz), Varian Mercury plus, Bruker Ascend 400 or a Bruker DPX400 spectrometer and in the deuterated solvent stated. All NMR spectra were acquired using the deuterated solvent as the lock. Coupling constants (J) are quoted in Hz and are recorded to the nearest 0.1 Hz.
  • Analytical RPLC-MS was performed using a HPLC-MS Dionex Ultimate 3000 with a Bruker amaZon SL, under the following conditions: Column, Kinetex C18 (2.6 pm, 50x3.0 mm); Mobile phases, MeCN/water gradients (0.05% HCOOH); Flowrate, 1.5 mL/min; Detection, UV (214, 254, 280 nm) and MS (ESI, pos, neg or alternate polarity) or Agilent/HP 1200 system 6110 mass spectrometer with electrospray ionization (ESI+).
  • HPLC-MS methods were the following: Method 1 - Waters XBridge C18 3.5 pm column (3.0 mm ⁇ 50 mm), 3.5 min gradient mobile phase [CH 3 CN] / [10 mM NH4HCO3/H2O]; Method 2 - ACE C18 3.5 pm column (3.0 mm * 50 mm), mobile phase [0.1% TFA/CH3CNJ / [0.1% TFA/H2O] or Water micro mass ZQ 2000 using positive and negative electrospray ionization.
  • Preparative RP-LC was performed using a Gilson system equipped with a Zorbax SB-C8 (5 pm, 21.2x150 mm) column, using MeCN/H20 (0.05% HCOOH) gradients at a flow rate of 15 mL/min with UV (214 or 254 nm) detection or VP 250/21 NUCLEODUR C-18, HTEC, 5pm column on a GILSON 333/334 Prep-Scale system with a flow rate of 20mL/min, detection at 254 nm, and an CH3CN/H2O eluent system. Chiral Separations were performed using a SFC Waters Investigator system with Waters 2998 PDA detector. The column temperature was set to 45 °C.
  • Example 1 As a white solid (0.92 g, 65% over 2 steps).
  • Example 2 was diluted with EtOAc (10 mL) and washed thoroughly with a sat. aq. NaHC0 3 solution (5 mL) and brine (5 mL), dried over MgS0 4 , filtered and concentrated in vacuo. Purified via the Biotage SP4 (silica-packed SNAP column 10 g; 20-50% EtOAc/hexanes) to give Example 2 as a white solid (110 g, 80% over 2 steps).
  • Example 3 was purified using a Biotage SP4 (silica-packed SNAP column 100 g; 20-50% EtOAc/hexanes) to give Example 3 as a white solid (1.16 g, 82% over 2 steps).
  • Example 8 N-(1-(2-fluorophenyl)-4, 5, 6, 7-tetrahydro-1H-indazol-4-yl)-4, 5, 6, 7- tetrahydrobenzo[c]isoxazole-3-carboxamide
  • Example 3 may be prepared by analogy with the procedure described for the preparation of Example 3 and corresponding racemic compounds.
  • Example 12a (R)-N-[1-(2,4-difluorophenyl)-4,5,6, 7-tetrahydro-1H-indazol-4-yl]-4,5,6, 7- tetrahydro- 1, 2-benzisoxazole-3-carboxamide
  • Example 12b N-[(4R)-1-(2 -difluorophenyl)-4,5,6 etrahydro-1H-indazol-4-ylH ⁇ 7- tetrahydro-2, 1-benzoxazole-3-carboxamide
  • the title compound was prepared using two methods.
  • the residue was purified by silica gel chromatography eluting with a stepwise gradient of 0, 1 and 2% of methanol in dichloromethane. The fractions containing product were concentrated to give 20 mg.
  • the enantiomers were separated by SFC using a Chiral Cellulose SC column, 250*10 mm eluting with 45% methanol in supercritical carbon dioxide, flow 15 ml/min. The first eluting peak (RT 5.2 min) was collected. The solvents were evaporated to give the title compound (3.7 mg).
  • Example 25 4-methyl-N-[(4R)-1-(2-methylphenyl)-4,5,6, 7-tetrahydro-1H-indazol-4- yl]pyridine-2-carboxamide
  • Example 36 4-chloro-N-[(4R)-1-(2-fluorophenyl) -4, 5, 6, 7-tetrahydro-1H-indazol-4- yljpyridine -2 -carboxamide
  • the product was purified by column chromatography eluting with a gradient of methanol in DCM (2-10%). One third of the isolated material was dissolved in dichloromethane. The organic phase was washed with NaHCC>3 (sat, aq.). The organic phase was concentrated at reduced pressure and the product was further dried under vacuum to give the title compound 6 mg (1 1 %).
  • the title compound was synthesized using the method described in Example 14B with purification by silica gel chromatography, eluted with a gradient of hexanes/Ethyl acetate 3:1 to 1 :1 to give 90 mg (71 %).
  • reaction mixture was warmed to 0 °C and MeOH was added dropwise until gas evolution was no longer observed.
  • the crude reaction mixture was poured into brine (5 mL) whilst being vigorously stirred.
  • the resulting suspension was filtered through a celite, and the filter cake was washed with EtOAc (2 ⁇ 5 mL).
  • the filtrate was washed with brine (20 mL), and the brine layer was extracted with EtOAc (3 x 10 ml_).
  • reaction mixture was warmed to 0 °C and MeOH was added dropwise until gas evolution was no longer observed.
  • the crude reaction mixture was poured into brine (20 mL) whilst being vigorously stirred.
  • the resulting suspension was filtered through celite, and the filter cake was washed with EtOAc (2 10 mL).
  • the filtrate was washed with brine (30 mL), and the brine layer was back extracted with EtOAc (3 ⁇ 20 mL).
  • the title compound was prepared according to the method in S4 to give a solid (1.6 g, 70%).
  • the title compound was synthesized using the method described in S6 to give by using ethyl 3-(4,5,6,7-tetrahydro-4-oxo-1 H-indazol-1 -yl)benzoate as a starting material, with the modification that the heating time was 7 h at 70 °C, to give 0.342 g of crude product, m/z (ES + ) 286 [M+H] + .
  • DHODH human dihydroorotate dehydrogenase
  • DHODH enzyme assays were performed with 6 nM recombinant human DHODH (purified essentially as described by Walse et. al., Biochemistry, 47, 8929-8936 (2008)).
  • the reaction mixture consisted of 1 mM DL-dihydroorotic acid (#D7003, Sigma-Aldrich), 100 ⁇ 3,4-dimethoxy-5-methyl-p-benzoquinone (#D9150, Sigma-Aldrich), and 100 ⁇ 2,6- dichlorophenolindophenol sodium salt (DCIP) (#D1878, Sigma-Aldrich) in enzyme buffer (50 mM Tris-HCI pH 8.0, 0.1% Triton X-100, 150 mM KCI).
  • a stock solution of 20 mM DCIP was prepared in enzyme buffer and filtered through Whatman paper just before use. Loss in absorbance by chromogen DCIP was measured at 595 nm at RT every 3 min for an hour.
  • Example compounds as described herein were dispensed with an acoustic liquid handler, Echo 550 (Labcyte) to a maximum volume of 50 nl per well in a 384 well plate.
  • DHODH enzyme assays were performed with 4 nM recombinant human DHODH (purified essentially as described by Walse et. al., Biochemistry, 47, 8929-8936 (2008)).
  • the reaction mixture consisted of 2 mM DL-dihydroorotic acid (#D7003, Sigma-Aldrich), 100 ⁇ 3,4-dimethoxy-5-methyl-p-benzoquinone (#D9150, Sigma-Aldrich), and 200 ⁇ 2,6- dichlorophenolindophenol sodium salt (DCIP) (#D1878, Sigma-Aldrich) in enzyme buffer (50 mM Tris-HCI pH 8.0, 0.1% Triton X-100, 150 mM KCI) in a final volume of 50 ⁇ per well.
  • a stock solution of 80 mM DCIP was prepared in DMSO just before use. Loss in absorbance by chromogen DCIP was measured at 595 nm at RT every 2 min for an hour with a plate reader (Envision, Perkin Elmer).
  • DHODH inhibition increases the expression of p53 tumor suppressor target genes.
  • a p53 reporter cell based assay it is possible to assess the ability of compounds to be active in cells. If these compounds activate p53 by virtue of their ability to inhibit DHODH, it is expected that activation of p53 by these compounds is prevented by treating cells with uridine (which allows pyrimidine synthesis to proceed even in the absence of DHODH).
  • Example 8 cells are treated with increasing concentrations of Example 8 in the absence or presence of excess uridine (100 micromolar). 16 hours after incubation, cells are lysed in lysis buffer (Promega # E397A) and chlorophenol red- -D-galactopyranoside (CPRG, a substrate for beta-galactosydase) is added. Plates are incubated at room temperature and color change of the CPRG substrate is measured at 595 nM.
  • Figure 1 shows results obtained with different concentrations of Example 8 on the activation of the transcription factor function of p53 in the absence and presence of excess uridine.
  • Example 3 Reduction of cancer cell growth and/or viability by Example 8 in the presence and absence of excess uridine using the Sulforhodamine B Assay
  • ARN8 melanoma cells are seeded at a density of 500 cells per well of a 96 well plate. Following 24 hours of incubation, cells are treated with increasing concentrations of the compound of Example 8 in the absence or presence of excess uridine (100 micromolar). Cells are incubated for 72 hours after which the growth medium is removed from the cells and replaced by 150 mL of 1x sterile PBS and 50 ⁇ _ of 40% trichloroacetic acid in dH20. Samples are incubated at 4°C for 1 h to fix the cells. The plate is then washed with 3 changes of water with all liquid allowed to drain from the plate.
  • Figure 2 shows that the compound of Example 8 reduces ARN8 melanoma cell growth and/or viability, and that this effect is largely prevented by the addition of excess uridine.
  • Example 4 The compound of Example 1 increases p53 synthesis
  • ARN8 melanoma cells were treated with the compound of Example 1 , nutlin-3 or vehicle (DMSO) for 5 h and pulse labeled with 35S-Met for 30 minutes.
  • p53 was immunoprecipitated and p53 protein levels were determined. Incorporation of 35S-Met in the p53 immunoprecipitate was determined by autoradiography. This experiment was performed in duplicate (Exp. 1 and Exp.2). The results obtained are shown in Figure 3.
  • Biological Example 5 Loss of nutlin-3 induced p21 expression by Example 1 is also associated with an increase in apoptosis
  • ARN8 melanoma cells were treated with the compound of Example 1 for 1 h and then 2 ⁇ nutlin-3 added for an additional 18 h.
  • the results are shown in Figure 4.
  • Levels of p53 and downstream targets hdm2, pig3 (band indicated by arrow) and p21 were determined.
  • Levels of gapdh were used to monitor protein loading.
  • Pig3 is a known pro-apoptotic protein.
  • Loss of nutlin-3 induced p21 expression by the compound of Example 1 is also associated with an increase in apoptosis.
  • Biological Example 6 Effect of the compound of Example 1 and nutlin-3 on cell death
  • ARN8 melanoma cells were treated with the compound of Example 1 for 1 hour and then nutlin-3 added for a further 48 hours (49 hours MJ05 treatment in total).
  • DNA content was determined by flow cytometry following propidium iodide staining and the percentage of cells with a sub-G1 DNA content (i.e. dead cells) was determined using CellQuestPro software.
  • DMSO is the solvent vehicle for nutlin-3 and the compound of Example 1. The results obtained are shown in Figure 5.
  • Nilotinib blocks uridine uptake in ARN8 cells
  • ARN8 cells were incubated with increasing concentrations of nilotinib and tritiated uridine. The amount of tritium label in cells was determined by scintillation counting. 200 000 ARN8 cells/well were seeded on 6-well plates. 24 h post-seeding, the cells were rinsed twice with transport buffer, pH 7.4 (20 mM Tris/HCI, 130 mM NaCI, 3 mM K 2 HP0 4 , 1 mM MgCI2, 5 mM Glucose) and then incubated for 15 min at 37°C with compounds (or vehicle) diluted in transport buffer.
  • transport buffer pH 7.4 (20 mM Tris/HCI, 130 mM NaCI, 3 mM K 2 HP0 4 , 1 mM MgCI2, 5 mM Glucose
  • Example 8 Effect of the combination of the compound of Example 8 and nilotinib on ARN8 cell growth
  • ARN8 melanoma cells were seeded on to 12 well plates and treated with the indicated concentrations of the compound of Example 8 and nilotinib alone or in combination for 72 hours. At this time point the medium was replaced with fresh drug free medium and cultures were allowed to regrow for 72 hours. At the end of the experiment, cells were fixed in metanohacetone 50:50 and stained with Giemsa. DMSO is the compound solvent vehicle control. The results obtained are shown in Figure 8.
  • ARN8 melanoma cells were seeded on to 24 well plates and treated with the indicated concentrations of the compound of Example 8 and dipyridamole alone or in combination for 72 hours. At this time point the medium was replaced with fresh drug free medium and cultures were allowed to regrow for 72 hours. At the end of the experiment, cells were fixed in metanohacetone 50:50 and stained with Giemsa. DMSO is the compound solvent vehicle control. The results obtained are shown in Figure 9.
  • Biological Example 10 Effect of the compound of Example 1 on the viability and/or growth of a variety of cancer cell lines
  • WST-1 assay (Roche) was used to measure the number of metabolically active cells following 72 hours of exposure to the compound of Example 1 and the percentage relative to the vehicle (DMSO) control calculated.
  • Adherent cell lines were cultured overnight prior to the addition of the compound of Example 1 , whereas non-adherent cell lines were treated immediately after seeding. TP53 status in each cell line is indicated. All cells were grown in 10% FBS. p53 wild type or mutant status (wtTP53 or mtTP53) and tumor cell line origin are indicated. The results obtained are shown below and in Figure 10.
  • Example 11 Effect of the compound of Example 16 alone or in combination with nilotinib on the viability of GFP expressing Semliki Forest Virus
  • HNDF cells per well were seeded on 12-well plates (1.5 mL medium per well). Medium was DMEM (HyClone) supplemented with 10% FBS and 100 U/mL Penicillin/Streptomycin. Next day, cells were infected with SFV virus expressing GFB at a MOI of 10 in the presence of the indicated compound concentrations and combinations thereof. Plates were incubated at 37°C in a humidified atmosphere containing 5% (v/v) C0 2 .

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Abstract

La présente invention concerne un composé de formule I (I) ou un de ses sels pharmaceutiquement acceptables, destiné à être utilisé dans le traitement du cancer et/ou le traitement ou la prévention d'une infection virale, A1, A2, L1, R1, R2 et n ayant les significations fournies dans la description.
PCT/GB2016/053383 2015-11-02 2016-11-01 Tétrahydroindazoles et leurs utilisations médicales WO2017077280A1 (fr)

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JP2018541572A JP6859358B2 (ja) 2015-11-02 2016-11-01 テトラヒドロインダゾール及びその医学的使用
CN201680063929.6A CN108349947B (zh) 2015-11-02 2016-11-01 四氢吲唑及其医药用途
EP16805882.4A EP3371172B1 (fr) 2015-11-02 2016-11-01 Tétrahydroindazoles et leurs utilisations médicales
ES16805882T ES2895904T3 (es) 2015-11-02 2016-11-01 Tetrahidroindazoles y usos médicos de los mismos
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WO2023144332A1 (fr) 2022-01-27 2023-08-03 Genase Therapeutics B.V. Dérivés de tétrahydropyranopyrazole pour le traitement du cancer et d'infections virales
IL305348B1 (en) * 2023-08-20 2024-04-01 Selene Therapeutics LTD DHODH inhibitors penetrate the blood-brain barrier and their uses

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022043714A1 (fr) * 2020-08-28 2022-03-03 Heptares Therapeutics Limited Composés modulateurs de gpr52
WO2023144332A1 (fr) 2022-01-27 2023-08-03 Genase Therapeutics B.V. Dérivés de tétrahydropyranopyrazole pour le traitement du cancer et d'infections virales
IL305348B1 (en) * 2023-08-20 2024-04-01 Selene Therapeutics LTD DHODH inhibitors penetrate the blood-brain barrier and their uses
IL305348B2 (en) * 2023-08-20 2024-08-01 Selene Therapeutics LTD DHODH inhibitors penetrate the blood-brain barrier and their uses

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